Routt Service Learning Crew Application

Thank you for your interest in working with Rocky Mountain Youth Corps, based in Northwest Colorado!

Session Dates:
SLC runs Monday-Friday, 8:00AM- 4:00PM. We are expecting to camp 1-2 days per session in the 2023 season, details TBD.

Session 1: June 5th- June 16th

Session 2: June 19th- June 30th

Session 3: July 5th- July 14th

Session 4: July 17th- July 28th

Session 5: July 31st- August 11th

For program information, please visit the RMYC website: www.rockymountainyouthcorps.org .

Rocky Mountain Youth Corps
991 Captain Jack Drive
Steamboat Springs, CO 80487
info@rockymountainyouthcorps.com
www.rockymountainyouthcorps.org

Select one or more sessions of interest:

To make multiple selections, hold down the Control button and select all applicable options.

Student Information

First Name

Last Name

Preferred Name

Gender Identity

Check out this helpful guide to learn more about gender identity.

Rocky Mountain Youth Corps does not discriminate on the basis of sexual orientation, gender identity or expression. In order to track the effectiveness of our recruiting efforts and ensure we consider the needs of all our employees, please consider writing in your gender identity.

If you prefer to self-describe, please do so here

Birth Date

School

What school will you be attending in the 2023-2024 school year?

Grade

What grade will you be entering in the 2023-2024 school year?

Address

City

State

Zip Code

Are you a returning student?

Yes

When and with which program?

How did you learn about RMYC's programs? If referred by a friend or relative, please let us know who. If found on the internet, please let us know what site.

Is there anyone you would like to be on a crew with? We cannot guarantee placement but will make every effort to do so when possible.

T-Shirt Size

Please indicate what gear you plan to borrow from RMYC. Check all that apply:

To select more than one when using desktop, hold down the control button and select options.

Additional Comments:

Parent/Guardian First Name

Parent/Guardian Last Name

Relationship to Participant

Parent/Guardian Email Address

Parent/Guardian Phone

Parent/Guardian Alternate Phone

Parent/Guardian Signature

Please type in your name as entered above. This serves as your signature on this application.

Signature

Position Type

Contact Information